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HomeMy WebLinkAbout37479-Z ~r~j~~~ Town of Southold Annex 7/12/2013 P.O. Box 1179 54375 Main Road Southold, New York 11971 ~~1 ,i', CERTIFICATE OF OCCUPANCY No: 36394 Date: 7/12/2013 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 570 Critten Ln, Southold, SCTM 473889 Sec/Block/Lot: 70.-12-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this otficed dated 8/16/2012 pursuant to which Building Permit No. 37479 dated 8/28/2012 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: IN-GROUND SWIMMING POOL. FENCED TO CODE AS APPLIED FOR The certificate is issued to Leiblein, Gary & Leiblein, Lorraine Beck (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37479 OS-08-2013 PLUMBERS CERTIFICATION DATED -~f' Auth Sign re TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE SOUTHOLD, NY ' BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37479 Date: 8/28/2012 Permission is hereby granted to: Leiblein, Gary &Leiblein, Lorraine Beck 570 Crittens Ln Southold, NY 11971 To: construct an In-Ground Swimming Pool, fenced to code At premises located at: 570 Critten Ln, Southold SCTM # 473889__ Sec/Block/Lot # 70.-12-13 Pursuant to application dated _8/16/2012. and approved by the Building Inspector. To expire on 2/27/2014. Fees: SWIMMING POOLS - IN-GROUND WITH FENCE ENCLOSURE $250.00 CO -SWIMMING POOL $50.00 Total: $300.00 Building Inspector `n ~ ,~/r~ `D' Form No. 6 TOWN OF SOUTHOLD o BUILDING DEPARTMENT ~ aa~~ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This: application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I . Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or .topographic features. 2. Final Approval from Health Dept. of water supply and seweragedisposal (S-9 farm). 3. Approval of electrical installation from Boazd of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commeroial building, industrial building, mtiItiple residences and similar buildings and installations, a certificate of Code Compliance from azchitect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspeci signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 pp,, / Date. 6 IIJrI) Z- New Construction: ? Old or Pre-existing Building: (check one) Location of Property: S~~ C~~ L~ 'fib House No. Street Hamlet OwneroiOwnersofProperty: ~~hRil o ~~1~1~ L~tbleln Suffolk County Tax Map No IOOQ, Section r/C7 glcek ~Z Lot ~ 3 Subdivision q Filed Map Lot: PermifNq.J 1~1 ` .Date of Permit.~'z~'I~ Applicant Health Dept. Approval: Underwriters Approval: Planning $oard Approval: / Request for: Tempora~{ryyCertifi~ate Final Certificate: V (check one) Foe Submitted: $ , Applica tgnature g11FF01,~ Town Hall Annex pp~ Telephone (631) 765-1802 54375 Main Road ~ Fax (631) 765-9502 P.O. Box 1179 G Southold, NY 11971-0959 'yam! ~ `?a0! roper.richertantown.southold.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Leiblein Address: 570 Critter Ln City: Southold St: NY Zip: 11971 Building Permit 37479 Section: 70 Block: 12 Lot: 13 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Laurel Lighting Inc License No: 4718-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pod X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures HID Fixures Service 3 ph Hot Water GFCI Recpt Wall Fixures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixures Time Clocks Disconnect Switches 1 Twist Lock 2 Exit Fixtures TVSS other Equipment: in ground swimming poolto include bondin 1-control panel 2-GFCI circuit break Notes: Inspector Signature: ~,cti ~ ~ Date: May 8 2013 Electrical Cert'rficate.xls 3 ~ G ~ ~o~v,OF SW/Ty~ C( f®~ TOWN OF SOUT410LD BUILDING DEPT. 765-1802 ~ ~ 1 NSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] EL (FINAL) REMARKS: ~ DATE INSPECTOR ~O~~,OF sMnyo6 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING I STRAPPING FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ l FIRE RESISTANT pENETRATiON [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS ~ ~9--- ,v s r r DATE l ~ - 9 ~ ~ ~ INSPECTOR J' d"O~ ( / L TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PL [ ]FOUNDATION 2ND [ ]INS TION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR - ~'`'`~j FIDSLD ~ N SORT DATE / o ~ro FOUNDA~'TON (1ST) S ae 7 N y FOUNDATYON (ZND) ~ z 0 O ROiJ6H FRAMING & ~ PLUMBING INSULATION PE& N. Y. ny STATE ENERGY CODE V p _ ~ ~ ~ ~ FINAL , 7l ADDITIONAL COMMENTS ~~1 g•2~_ ~ , o / ~ E Gc~ - B ~ ~ ~ z 5 st.~ ~ o z L e i TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying ? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. ~ Check 2 ~ 2 it 1117 2 Septic Form D S I_.? Il ~~"I LS N.Y.S.D.E.C. Trustees Examined-___ _ _ $~~Q; 20 ~ I D Contact: Approved 203- AU6 1 6 2012 Mail to: Disapproved a/c BLD6.DFF1. ~ jf _ 1n~,~~t nr Sn~'1HOID Phone: T°'T Building Inspector APPLICATION FOR BUILDING PERMIT p Date d//J~/la , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or azeas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Pemut. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used.in whole or in part for any purpose what-so-ever until a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, aad other applicable Laws, Ordinances or Regulations, forthe construction of buildings, additions, or alterations or for removal or demolitonasrherein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and r ations, and to admit authorized inspectors on premises and in building for necessary inspections: "E~uiA~ ge + ~ (Signature of applicant or , if a corporation) ENCL. 5E C ~ . n uPONCOMH ;~,1~-rR~ 2+ ?Sh ~~~ec Yl~ BEFORB"WA - ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect; engineer, general contractor, electrician, plumber or builder -:PROVED AS NOTEC ~ BP r< .37~ Nameofownerofpremises ~Rt~a ~Q2414t ~.2lbltlr? tATL (as on the tax roll or latf~~dee~) o25a EY_ Nz7T"I~Y BUILDING DEP4RTMFtvT qT If applicant is a corporation, signature of duly authorized officer 7 60- ~ 802 8 AM TO 4 PM FpR THE r OLLOWING INSPECTIONS: t. FOUNDATION -TWO REOUIREO (Name and title of corporate officer) FOR POURED CONCRETE .2. ROUGH -FRAMING, PLUMBING, Builders License No. " ~3h -H7 STRAPPING, ELECTRICAL d CAULKING 3. INSULATION.. Plumbers License No. 4. FINAL -CONSTRUCTION:& ELECTRICAL MUST 8E COMPLETE FpR C:O. Electricians License No. oZ~~l~ ` ~+/G RUCTION SFMUl MEET TIE REQUIREMENTS OF THE CODES OF NEW Other Trade's License No. YORK STATE NOT RESPONSIBLE FOR - p~E~L~EnCTRICA~jLI f DEStGNQRCONSrRUCTroNERR~ 1. Location of land on which p~o'~bs'~d'vJo~ K~il~~Zl'oTi~~"~ SAO .ct#Hrs L,J ~-~rr -wz,ti House Number Street ~ ~ Harmlet ' ~ btovl County Tax Map No. 1000 Section '7a Block ~a ~ 1?ot. ~ 3 Subdivision Filed MapNo._ ~ c (Name) ---~~'~N-~1 ~'~/~4TER R1JN8Ff~-- PURSUANT T1' CHAPTER 236 OF THE TDW1J CODE. 2. State existing use and occupancy of premises and interided u e and occupancy of proposed construction: a. Existing use and occupancy_ iv 19Pn(2Q b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alter tion Repair Removal Demolition Other Work ~mm,N~ ~i~lt 1/1~4~1~ Description) 4. Estimated Cost ~I(~l) ~ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type. of use. 7. Dimensions of existing structures, if any: Front ~I Rear ~1 Depth ~ t Height Number of Stories 1`Iz Dimensions of same structure with alterations or additions: Front Rear. Depth Height Number of Stories 8. Dimensions of entire new construction: Front ~ V ~ Rear a2 ~ Depth 3 t~z ~ Height Number of Storipes 9. Size of lot: Front ~.55 ~ Rear O S ~ Depth 35 I 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises aze situated 12. Does proposed construc(t~ion vinolate any zoning law, ordinance or regulation: NO 13. Will lot be re-graded P~ /kKph Will excess fill be removed from premises: YES NO 14. Names of Owner of premises (S~Ifl Address J~Ck Phone No. ~p`J ' gR717 Name of Architect 0?~b .l1 il~~i ~ Address ~ i~t~neNo 72SF-7$83 Name of Contractor T Address r 2SA Phone No. fp 31-7~Ft-71 ~ yYl~llaL 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE RE UIRED ' ~ , 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OFJ1pf0.t 1 ~ being duly sworn, deposes and says that (s)he is the applicant (Name of indivi a signing contract) above named, .,w . (S)He is the nLyl-~/~j~ s.l^ ' (Contr""actor, Agent, Corporate Officer, etc.) of said owner or owfiers, and`is,~uau{]torized to perform or have performed the said work and to make and file this application; that all stat~inetlfs contained iri thiq~pplfiCli4lon'are true to the best of his knowledge and belief; and that the work will be performed in tl~e ~anryer• sat Iorth n.the application filed therewith. r Sworn to befot'S1me thiA ' rAG; , a r ~.t~- otat ~ Public Signature of plicant MAfiGARE~f A. KIDNEY Nohuy Rublk: -.State ~ New York No. 01 K160211 1 I Gualilied in Suffolk County My Canxnission Expires Much 8.2015 Town of Southold -Chapter 236 - Stormwater Management ~f~~ SWPPP -Storm Water Pollution Prevention Plan Assessment Form GENE1tAI, INFORMATION:. (All Requested Information is Required for a Complete Application) APPLICANT NAME: Owner-Agml-COnaWbM-Contractor orgher (Ckde One) property OYYNEIa iq DerereM Nan Applfwn - e l~l8t•21n " • 5 t tents W Addrasa: TslePlwne,f.• -7t_C-p Fax t. - hNPhom ~k Fazk ~ ~o~ BridDewipuon of f:oasDtktion Activity, laropoaed Slnraual BMPa, SoH ~I 3.6T.M. P. t000~ f/n Ja ~ Shbalia0oa BMPs, ProjeQ Scope and/or Sequrnce of Conalmc0op Arbyjty ~ p Y~ JawoaSL_ Iq tRmuaA081yryppaFasNeetl.tlj ~j~~ Nrrm of artdor COnhct Partoq mla roc pnpNnmMado„olswpPP: _-_-Q/fJ~Q~--Jbc 32 _ ij1~k,11un _IL111~L---- OFf r Addrosa: + ~ Ilec. 1171eaf --Lblhu~'~_}_~ `--W~n'1+:--~ A/f2----- - I Ts pMrn N: I 8770 FaaR _ C - _ E-MaN: ~ I ~ Nam. of Penormaeparsibk IorlnsWktkn 8 IMenma wEmkn control Practlw: , Addreaa: ~ 1 Tekpbone t. Fax a: E • Mal: Total Area o/Ar SI.7 n( . LL Sa' Total Area of LarM dexGg - Project Parwb: antllor Ground Dlslurbence: IS.F./bu) - Projaet Duration: Sbrt Entl - IAnadpatad) .Dale: Date: 30 9lf,l~ i~ll~+z ' p+wne.dr+anF.. tar.tam WiN tMs Project DisturDe Tiva (5) or More Acres at ~~~~'~~y`-'1~~ , Any One Tfma During the Proposed DevelopmentT YeO No , Ir YES: Phase AMwer tM Folkwin I I - a. Does the AppNcant have a Qualified Inspector On Q Q Stag To Conduct the Rgquired Inspections T Yes No b. D085 the SWPPP IndlCeta HOW FtegUeDtiythe $Ite ~ O Lkl Na NAMES w description of alt Potentbliy impacted Wateraodka andlor WadsrWS: Inspections wll Occur aM for What Period of Time 7 Yes No a Does~ftre SWPPP Adequatey Werttify Aq Ternpwary Q O andlor Permanent SoN Stabalirdtion MeasuresT Ves No I d. Does the SWPPP Adequately kentifya Complete 0 Q - Project Phasing Plan 7 ~ Yes No i e. Does the SWPPP Indlcale AdtNtlonal Sile SpedNc ~ O shwa or knPaetad wdarbody: (ag. TMDC costa) waled, lmpelrcd_j Practices that WIN De UIO@ad to Protect Water Duality T Yes Noy j - f. Has the Applicant SubmiSeda Completed DEC No4ce Of Intent and SWPPP Acceptance Folm for Review ~ O Type of hnpackd WNwbody: lag, Laks, Creek, Bay, Pond, Sound, FraahwaterYYatlarM.~ DY ttie Town of Soudtold T Yes No i S1'A'1'F OF NF,W YORK, COU ~~J'Y OF --:~I-K SS 77wt I . ..............._...Sn ~IQ~IA~ being duly sworn, deposes and sa that he/she is the a bean[ for Perini I (NanreN afgrlNtp'DOnananlj ' ,,,,II''~~'' Ys PP ~ 4 I And that he/she is the ...............~..................................Q!~.!~-................:.... Towner. Cmtr+dor. . Agent, Corpmta ONur. amj ~ ~ Owner and/or reprueoptive of the Owner or Owner, and is duly authorized fo perfoml or have performed the said work and to I make and file [lus application; that all statements contained in this appliadon are true ro the best of his knowledge and belief; and that the work wiU be rformed in the manner set forth in the applimtion filed herewith. Sworn to befo ~ Jne this; j~ y~ i , Notary Public Q.... ra d Applicant) SWPPP Assessment FORM: 03-1? ' ~Y Pubicc -.State of New Yak No. 01 K16021 I l l t]ua6Hed in SulfoMc Colxtty My Ct>tflmwiort ExP~ Atereh 8.208 T.O.S. "SWPPP" Preparation -Chapter 236 FerDepartmentuseonly: 5tci'rm Water Poliwtion Prevention Plan aCTA1 a. PropertyAdon 5 Review Checklist Checklist # 1 ~ooo 70 {Z ?3 ~ a.~.. REQUIRED pLAN:INFORMATION AND IMPLEMENTATION DETAILS: ~ I , , Dow the SWPPP Ad stet Provide for and/or Ihdipte tfie Following:) ,YES , NO , N.A. ; EttplanaGOn for NO or N~1. Plan Sheet _ 1. Drs sego-__ mtwater a to coots n a wo nc in I n- e. ~ Location (pg, 2. Conainiepon Phasirty Plan lndicetlnp t3eyuence ofPm_posad Construction ACtlviUes i[~i i-----'--------------- 3...GeneralLocaUonMap___ - ~ ~ _ - IQIQIQi - - 4 Dreiange Site Plan Drawrt to Splo at SIMx~80.1 feet to the Inch or la_rg_er intlkatlng Ne Follo_wing: - i QiQ i Q ~ - - - a LopgUon~l)eggdpjlon of Property Boundades, - iQiQiQL_ - _ b Slte Acreage` _ _ _ jQiQiO _ _ _ - c Atl l.xlsUn Natural - - - _ . - _ and/or Man Made Feawres on and wtthm 50 of the Pro eA Bounds I I I i - - - - - - - - p y _ n .,O,O~ .d Test H°le Data lndicatlng Soll CharacterisUcaBDepth to Seasonal Huh Water Table; ~QIQi~-- - e.. Contours lrrdlCaUnQ property ElevatbnaSMln 2~_ - _ __iOiQi(,~~'---- - _ _ f ~ Spot Grade 8 Finish Floor Elevaflotp for Exbtlng end Proposed SWCturas - i _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ JQiQ' 9 Locadono7fl~1oo8edjtreas8lsolatedfireeswtt~iaidinlmumblmensfonofte'Diameter, -aQ,QI~;----- - _h Soilt`once-rv-e-tfionDTs3TeT8af3urvey. - i - - - Ip~QI~., - 5. Background Infonnatlon about tha S - - - - ~ ~ cope of the ProJea, LoptlbnBDescdptlon of the Slte, __-~Qi~;Q''_____ _ Proposed Changes m the Site and All ExlsUrtq Development en tha site Inducting the Following. ~ ~ ~ ' ~ gf$~q { { fil a. AIUNPInvSrDenkLlqudingJp1a121masiland.DJ~IVrbanPe.d,.T~WISpa_&.ea;- ~O'O'O`--z+- - -~'~"-p_ ~r!I!nm@Jq {~C.. b. All Ext:avatlon; Rp4p, Stripping 8 Grading Proposed and IdenUfied~as to depth. Volume.. - i i i,~.~~ _ _,,.].aL/<y_ _ _ _ _ _ _ _ _ _ & NltL~~bbleLl+2li14v91yed• iO~Oir v,~ c. All uat _ and/or Grubbl , ~ r---- _.N_ea413EQ._!rD G4adp9.________!rAL d AliAreas Where To ~ - ' ' , -pall htc bo Removed, Slocitplled and where Topsoil will ultimately ' ' baplaoed~-- _ _ IQ~D~L~1~ - e - -All TsmporerY & Permanent VeAetapon to tie Placed on Site; - - ~ - - - - -f. All Temporey&Pemrenent Storrs Water RunoN BMP Control Measures Proposed - - _ - g The Antldpated Pattern of Surface Drainage boring Periods of Peak Runoff; ~ I ~ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ h TheLocaUono(eh-f'Foads Dd _ i I i L____ _ _ vawaya SI ewaTks, Patlos, SWolures, UUIIUes 8 Other - I I I I - - - - ImprgvemenB ~nofuafgfiempdrery llxess&ConatrGctlori Staging Areas:. _ _~O; O;L:c,~ ~ _ l: TfieFx~s'tTpg~l'~IrralZ`anfoursartaor3poiETevatfonsoftfiesiEe- - I I 6. ASChetlule ofths _ ;O~OII~, SeQYenoe for Ute Inatallatlon bf All Planned Soli Erosion, Setllmentadon I ~ ~ ~ - - - - - - B Stormwater RunaHCorrtrol Measures. ~ 0101 [7~, - - 7. Descrl Uon_bt Popupon Preventlon Measures that will be Im Iemerrited - - - _ _ _ ; Q ~ Q ~ _ . _ _ , 6. A DescrlpUon of UIe Minimum Erosion b Setlimem Control Preetlces to be Installed and/or . i i ~ - - - _ _ Implemented for Each Cunetrudloh Actlvttythat will result In Soll Diswrbance. ' Q' 0' d' - 9. Oescri on of Con ~ ~ I ~ atr~ICpon&Wa~tematerials ctedtobaStoredOnSYte. _ _ - - - _ __~e_________ _ L________ 10. TemporeryBPermanant Soll StaWilzepon Plan that meets the Curenl Version of the i i i - _ New Vork State Storrs Water Deslpn Manual Technical Standard. ' Q' Q; 1t._Generel-SIta P_ i ~-~u_,n - _ dlon DrevA fbrthe Pro act. _ _ _ ~ 0 -t~,1-~~LL _~~I I,--.~rr- 12 _D_menskdnay ~ ~_tlons 8lnstallartl Details forts Erosion 74 Sediment Control Praclices_ OO - 'Y 13 TemQ ~ Tube COneeifed to Permanerd control Meawres. iOiQir v'r______ 14 ImP _ $tapln8~mpnrar~'Erosion.Control Practlce orB'fdP_ _iQiQi i - - t5. Ma}' aura Conpnuobs & Effective Operatlonof Erosion 8 ~ ~ i i ~ - _ Sedl~ - - IQIQi~i i I i I 16. Nam .Waters of the State of New York and/or MS4 that may be ~ ' ' _ Impa'cteY~ls~'3 _ ~C]i0~ =J I I L • il. DellneaUon of ~ Qohtrol Plan lm lementatlan Rea' nsibllNes for Each art of the ~ I , , ProjeetEOna4udibrt>~i'le,___ _ 0,0,~~_______________________________ Ezlating _ _ I I I - _ rO pcrWble.foi lnstallin ConsWetln ~ r-- 19. dlentlpeatlon of Contractor(s~SutnCOnpraUO gRRes. and/or Natural Drale aqe Scv-ales_9, iDiQiQ~--+~"°`- - Re alrln 1 arW Helots the Erosion 8 Sediment Control Practices. 10 i 0 iQ i ~ ~ ~ ~ _ _ _ _ SYorm Water ManagOlfleMt Eonitrol Plan Checklist # 1 : 03-72 Town Hall Annex 54375 Main Road ~ ~ Tel~~errp~~hone (631)~~7yy6,,555pQ1~Q802 P.O. Box 1179 ~ ~ rOgerriChert(WtOWl~1 SOUtf1~1f1 nV US SoudroW, NY 11971-0959 ~/y~ ~ y~~ ~aUf11f~"" BUII~INC DEPARII?~fFNT' Town of sovTxorn APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ~JO rj' Date: G ~ Company Name: tit Name: License No.: Address: 7 pytq/`~ ~ ~ U~ / Cl .Phone No.: (03 - 7- 3 3 ~ JOBSITE INFORMATION: (*Indicates required information) *Name: *Address:~-7 C "K/T7~/r- ~ r,~- `Cross Street: ~ ~ ~ ~q ~ ~ *Phone No.: S- 7 lJ Permit No.: 7cf -7 Tax Map District: 9000 Section.?~_ Block: l~ Lot: "BRIEF DESCRIPTION OF WORK (Please Print Clearly) l'fllxicsn w _ {Please Circle All That Apply) *1s job ready for inspection: YES / NO Rough In Final *bo you need a Temp Cert~cate: YES / NO Temp Information (If needed] 'Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Ofher "NeW Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION ~ .~7 82 Request for Inspection Form ~ y ~ ~ 47 ~ 1 r`-' ~l E ` 'I hO~~a ~l ~ ~ ~~a~ TO'°n Elan Telephone (631) 765-180E 54375 Maw Road (631 7 P.O. Box 117$ roger.richertCd~1"`ewn.~0uio9~d.nV US Southold, [VY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRfCAL INSPECTION REQUESTED 8Y: Date: Company Name: U,S,`7". E~CCt~ZI~ Name: r:P i~ZIiT' icense No,: 2 r~lJ~ Ne Address: ~2~ P~lASr~ Qo ~lnl S Q,ptt, ` Phone No.: 31_ j14_©y(7D JOBSITE INFORIw~11IA~' TION: (*Indicates required information) *Name:: l~`tK~ c ~QLQtIn,~ ~21 (S~~If1 *Address: 5~0 Cpl-4~fn13 l.nl 'Si1'nthXlp *Cross Street: *Phone No.: (Q31- -7l~$- 8~1~17 Permit No.: 3 ~ ~F79 Tax Map District: 1000 Section: `]b Block: 1~. Lot: 13 *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~ ~-~~`U~ ln~~ /?1m~Ng i~ (Please Circle Alf That Apply) *Is)ob ready for inspection: YES / NO Rough in Final *Do you. need a Temp Cert~cate: YES / NO Temp:anformation (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300- 350 400 Other *Nevv Service: Re-connect Underground Number of Meters Change ofService Overhead Additional Information: PAYMENT DUE WITH APPLI °~'~1t3N 82-Request for Inspection Forrn Suffolk County Executive s Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 DATE ISSUED: 7/1/78 No. 4436-H SUFFOLK COUNTY for t~~ ~~nprove~nent Contractor License This is to certify that ARTHUR J EDWARDS - _ _ _ doing business as ARTHUR EDWARDS MASON CONTRACTING INC _ t.aving fil! ~rtehet +ae r~=,~~IllemeJ I, sei fotih .r, accordance wzth and subject to the provJSrons of applicable laws, airs and r~g_~laticrs ; arc Coffn ~ of Sufl'o1k, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. SUFFOLK COUNTY DEPARTMENT AddItrOU31 BUSIr1eSS2S OF CONSUMER AFFAIRS HOMEIMPROVEMENT CONTRACTOR - - ARTHUR J EDWARDS ~~~ppp /y This CefflfN'S tt12t the ~'~F g.ARTHUR EDWARDS MASON / - ~ J n n 1 t>~rer is duly CONTRACTING INC DBA `/Y/A`^/'I?.?VMOJVn /VAIJ~OI~/!M' licensed by the _ _ _ o...~.. _ - i County of Suffolk ~ - ' 4436-H o7lovf s7a Duector R,.,GSR. I I aiwrwmnw+s 07/01!2074 9~~\~i / ~dEM,~F r .rx~~?~~'`~ `~C~ ~ v T I Y`~/ ~ J Q~w l>; ~ ~ ? ! b f l~ f 4l. JN~ i~ 41)1 T ~ R fiT'~` ~P ~ x"~T ~ T, ~.oa / uro J yfi' . ?P ~.t~+y ba A n T,h~. fi J ,4F~ y ~ u, '*.rTa o "y ~ ,,r ! s! ; , t.,a~'<r w,`wew + + P ~ a'`ro r" it r ~ - ?u ,.y, s ~ =~~.:ati~~ ~aa?~v~' ~ rS~'~ f~ /~r r~~~c K'`~d~Y ~3'ry\~~lc~. f .r `r r ~ 3 I-.rf ~ T~.. ~ ~z4 Suffolk CourrtyExecutlves O'fflce ofCorzsumerAffalrs ~j"C \\~x s'_ sa ~/~4, ; VETERANS MEMORIAL HIGHWAY HALTPPAUGE, NEW YORK 11788 ~ ~t. Y ~ jY ~~z';~,:' DATE ISSUED: .5/1/80 No. 2740-ME ~:_£~z ~ SUFFOLK COUNTY K, Master Electrician License y~~ - - This is to certify that EDWARD S REIFF ~ ` - } - doing business as UNDERGROUND SPECIALTIES INC having given satisfactory evidence of competency, is hereby ]icensed as MASTER ELECTRICIAN in ~~;z accordance with and subject to the provisions of applicable laws, rules and regulations of ~~;F' a the County of Suffolk, State of New York. `x~~?- S~FFtn!xCfliJNT~t t7~P~W?fM€Nr > . CAF AfFRiRS Additional Businesses Y~ ~ ~ ~rx 4 ELECTRIGikN ~ ~ ECSWRRD S REI~F ~ ~ I T1Hg C~GMFBt tt~rt lf1$~ ~`'tliii1nwe. . ~ ! ~ ~ ux~pe3R6trxo saPCw r,psarec ~p n ~ Dce^net34Y~ t_~.Q,v~e:a f~C.~~+'~.',t.~-~sni`J4.._. . ~ r~i l _...i A ~~y~ S.O,T.M. ND. DISTRICT: 1000 SECTION: 70 BLOCK: 12 LOT{S):5a rz. ox. ~J 3 0~~. ~ y~ ~ o s„ ~ ~ u~ ~ c~ 0 ova; 2\ Up `~W 3o g J S Q 0.9Y pq[ ry OIGM 1 O ~ 1 ~ ~y 1y % _ 2~ ~ LOT 24 Gh " p " ~ ~ LOT 23 ~ , o , • o~a`O ~ `I Q~ /L• ~ ~ I.P.GA4 ,t d ~ _ a ,o z o _ 2 WY ,pym+c N C a 36.6' .y tl /999 g LOT 25 G~ rn ~ did W P W ~9. = YOH M °D CV A 99YfJ1 ~ ~ yy~ ~ m ~ R~ z ~ i ~ ~8481~ L~3~p4 Y9 N9T// `5p' CRI'ITF~ ~ S X09 CORRECT LOT AREA .07-16-12 ADD PROPOSED ADDITION 03-17-08 UPDATE SURVEY 11-19-07 AREA: 34,986.20 SOFT. or 0.80 ACRES ELEVATION DATUM: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS. A NOLATION OF SECTION 7209 OF T'- .YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SF,AL SHALL NOT"~6E CONSIDERED TO Bf ~lat~ £:COPY. GUARANTEES'INDICA7E0 HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY /S PREPARED-AN~7.O{w~1415 BEHALF TO THE TIT ~ ~OV£RNM£NTAL AGENCY AND L£NDINC INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE L£NDINO NSSfiTOTTYIlW, ~UARAHTEES ARE NOT " 1;~: THE OFFSETS OR DIMENSIONS. SHOWN HEREON 'FROM THE PRZ~P TY LINES TO THE STRUCTURES-` :SPEClF1C PURPOSE AND USE THEREFORE THEY ARf NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO O{~bE d'hlE'EF'ECTION OF FENCES, A~ CTURES OR AND. OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNR£t;OR XI~E IJOfi GUARANTEED UNL£S3`"~~. ~i+l17ENT ON THE PREMISES AT THE T1ME OF SURVEY suRVEY oF: LOT 24 ~ GARY LEIBLEIN; LORI LEIBLEIN; 1 , 71~`IEO T0: MAP oF: SOUTHWOOD [~SLANO ABSTRACT; TITLE MID-07-8885 FILED: NOVEMBER 24, 1953 AS #2141 slruATED Ar: SOt1THOLD rowN oF: SOUTHOLD ' I~NNETH M. 110YCHUK L S SUFFOLK COUNTY, NEW YORK Lead SurvoyinQ and Deaian P:O. Boz 9, 1[attituck, New York 11952 uu FILE p26-11~ SCALE: 1"=40~ DATE: MAY 2S, - ~'.rlr FJIOFTE:(891) EYB-1588 FAR (691) Ea8-1586 N Y. S, uC N0. SO??7 ` mdntaWln~ the recordo or Robert J. Henoeuy :wr S.C.T.M. NO. DISTRICT: 1000 SECTION: 70 BLOCK: 12 LOT(S): Is rz. w. ~b ,r~ S ~~,~v ~ 4 .3 O~ M VY oaw m ~ 0Iw wA Q zz Z\ U w ~O v QS ~ w,v F I9 0 M O a~ ~IY ' \ 2~ LOT Za L ~ ~ LOT 23 3 4i r J . ~ n ~ i LP.GA4 `I rt d L Q ~ ~I i ~ R OA'[ ~ r ('7 • 1 !M 9? 56:6' y r» ~m g o~ LOT 25 e ,r W v W ,0, A. x 110N ,D H z ~ ~ ~ L~3A4 X84.61 M*/s ~nP" ~g0 ~ GRITTY' S ~n, CORRECT LOT AREA .07-i6-12 ADD PROPOSED ADDITION 03-17-08 UPDATE SURVEY 11-79-07 AREA: 34,986.20 SOFT. or 0.80 ACRES £LFVATION DATUM: UNAUTHOR/ZED ALTERATION OR ADO/TION TO THIS SURVEY/S;A~VIOLATION-0F SECTION 7209 OF YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING 7H£ LAND SURVEYOR'S EMBOSSED SEAL SHALT NOY 6E CONSIDERED TO BE Y7; 'E~ COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY 15PREl~ARf~ANb,~ON Wl6 BEHALF TO THE TITL~J~ '~~OVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO- THE ASSIGNEES OF 1HE LfNDWO 1N5TI7t?nON, rGUA'RANTEES ARE NOT ~L~:. TH£ OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LlNfS 70 THE STRUCTURES,:. ~•,SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINfS OR TO ;CY~f9E IHE ERECTION OF FENCES, AO UOTUR£S OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORb~~.'i9YiE NOT.CUARANTEED UNLESS (R,=`I-Y~ENDENT ON THE PREM/S£S AT THE LIME OF SURVEY suRVEr oF: LOT 24 GARY LEIBLEIN; LORI LEIBLEIN; "71f IED T0: MAP oF: SOUTHWOOD ~~1SLAND ABSTRACT; TITLE MID-07-888S FILED: NOVEMBER 24, 1953 AS #2141 slrunreD Ar: SOtJTHOLD rowN oF: SOUTHOLD °~xx.= KENNETH M. 1f0YCHUK L.S. SUFFOLK COUNTY, NEW YORK Lend 3urveyinQ and Desiaa y ~ p 0. Hoz 9, Mattituck, New York 11952 FILE 26-119 SCALE: 1"=4D' DATE: MAY 26, Pg~NB.:(881) Eaa-1698 ~ FAZ (691) $99-1688 N. Y, 5. LIC NO. 50327 ~s, mNtl4lnln~ tba racorde of Robert J. Henneny ' a ryeq ,.,i. A 9drim.. wwr.. ~ B _ E~F B To FCtx from /~/~~~/J(v,w : n„rp To MaW~ -TO ReWrru (Dry WM OµYwq RoAeE Waf f Plan A Piping Arrangement Wm N,ry, 42" Section B-B ~ P~ 4 H 10" Section A-A Typical Wall Section S1Z& A B C D E F G H AREA CAP. FEBT Ft. FT. FT. F7. FT. FT. FT. FT. SQ.FT. GAL I6z92' 16' 92' 8' 14' 6' 4' 4' B' 512 19,000 '~F~itJ~i~~'dtudfaA 18'z36' IB' 36' 12' 14' 6' 4' 4' 8' 578 21,600 POOL & SPA CeNTRe PERMACRETE WALL SYSTEM 19'Yd8' l9' 38' 12' 14' s' 4' 5' 9' 848 24,900 929 Route 25A Miller Place NY 11764 20'z44' 20' 44' 18' 14' 6' 4' 6' 8' 800 90,000 (631) 744-7185 FAX (631) 744-0174 ~ ) 24'z44' 24' 44' IB' 14' 8' 4' B' 10'' 798 90,000 Suffolk License #4436-HI 24'z48' 24' 48' 20' 16' .8' 4' 8' 10' 900 90000 Nassau License #HI74450000